PreviMedica = Preventive / Lifestyle Medicine
(latin: praeventionis → engl. prevention, short “Previ” / latin: medica → engl. medicine)
PreviMedica is a division of Cell Science Systems, Corp. (CSS). CSS is a specialty clinical laboratory and known for its unique cellular based functional (biological) approach, passion for translational science and studies. CSS develops and performs testing in immunology, serology, cell biology, and other specialties such as molecular biology (genetic testing), supporting the personalized treatment and prevention of chronic disease. CSS operates a CLIA-certified laboratory and is an FDA inspected and registered, cGMP and ISO EN13485:2016 certified medical device manufacturer.
Functional Laboratory Testing aimed at personalized nutrition and prevention of chronic inflammation and disorders.
Functional testing is focus on the living cells’ responses and can meet your unique needs. It does not use population average standards used for example for antibody titer measurements. Instead, a baseline is created for each person and substance. During testing, the reaction curve is created, i.e. the agreement or deviation in several degrees from the individual baseline.
The Alcat food sensitivity or intolerance test identifies adverse reactions to dietary items. Especially innate immune cells are a reliable indicators of a pro-inflammatory reaction – they cause, initiate and maintain inflammation.
Immune cells can also be used as a biomarker for the absorption and metabolism of nutrients. The Cellular Nutrition Assay (CNA) shows which nutrients, botanicals, antioxidants etc. are insufficient and which are beneficial for an individual.
The functional nutrition tests can be complimented using indicators or risk assessment for disease processes: Gut Health genetic and antibody biomarkers (CICA) for intestinal complaints or the Telomere Length test to determine the ratio between actual age and the so-called “biological age”.
Measurement of cellular responses to foods, phytoceuticals, chemicals, pharmaceuticals, and other substances
Food sensitivity and diet may be associated with:
There are more than 50 studies on the Alcat Test for Food Sensitivities alone, including double-blinded trials performed at A*** universities such as Yale School of Medicine.
Cell Science Systems (CSS) was the clear winner of the prestigious Frost & Sullivan Award, which was granted only once in 2016.
These points were particularly highlighted:
Everybody’s nutritional needs are different. The Cellular Nutrition Assays (CNA) examine how your cells respond to specific nutrients – not just whether you are within “normal population ranges”.
This test may help with:
The functional sensitivity and nutrition tests can be complimented:
Please find below studies references related to our lab test offerings, nutrition and diet.
The Alcat food sensitivity or intolerance test identifies adverse reactions to dietary items. Especially innate immune cells are a reliable indicators of a pro-inflammatory reaction – they cause, initiate and maintain inflammation.
References:
+++ UPDATE: Publications since 2021+++
– Sheba Medical Center, double blinded study on IBS: https://journals.lww.com/ajg/fulltext/2023/10001/s619_immune_based_personalized_elimination_diet.975.aspx
– Texas team on weight loss: https://www.researchgate.net/publication/375605555_Food_Allergen_Elimination_for_Obesity_Reduction_a_Longitudinal_Case-Control_Trial#fullTextFileContent; https://cellsciencesystems.com/pdfs/prediabetes-reduction-from-food-allergen-elimination-2731.pdf
– B. König et al; Studies of mitochondrial and nuclear DNA released from food allergen-activated neutrophils. Implications for non-IgE food allergy; Allergy Asthma Proc.; 2021 May 1;42(3):e59-e70.doi: 10.2500/aap.2021.42.210021; https://pubmed.ncbi.nlm.nih.gov/33980341/
– F. B. Willis et al; Food Allergen Elimination for Obesity Reduction; a Longitudinal, Case-Control Trial; DOI:10.31488/bjg.1000122; https://britishjournalofgastroenterology.com/food-allergen-elimination-for-obesity
Double-blind studies on the Alcat Test
(1) Ali et al; Efficacy of individualised diets in patients with irritable bowel syndrome: a randomised controlled trial; Yale School of Medicine; BMJ Open Gastroenterol. 2017 Sep 20;4(1):e000164. doi: 10.1136/bmjgast-201 (https://bmjopengastro.bmj.com/content/4/1/e000164 )
(2) Garcia-Martinez, I., Weiss, T.R., Yousaf, M.N. et al. A leukocyte activation test identifies food items which induce release of DNA by innate immune peripheral blood leucocytes. Yale School of Medicine; Nutr Metab (Lond) 15, 26 (2018). https://doi.org/10.1186/s12986-018-0260-4
(3) Lukaszuk I.M, Shokrani M, Ghosh Roy P, Hoppensteadt J, and Josephine Umoren; Effects of Antigen Leukocyte Cellular Activation Test-Based Diet on Inflammation, Body Composition, and Medical Symptoms; Northern Illinois University; Alternative and Complementary Therapies VOL. 24, NO. 5; 11 Oct 2018 https://doi.org/10.1089/act.2018.29183.jml
(4) Buck Willis F, Ram Shanmugam, Sarah A Curran. Food Allergen Eliminations for Obesity Reduction: A Comparison Study with Therapeutic Exercise. University of Texas; Food Sci Nutr Res. 2018; 1(1): 1-6.; https://scivisionpub.com/pdfs/food-allergen-eliminations-for-obesity-reduction-a-comparison-study-with-therapeutic-exercise-580.pdf
(5) Michele Di Stefano, Eugenia Vittoria Pesatori, Giulia Francesca Manfredi, Mara De Amici, Giacomo Grandi, Alessandro Gabriele, Davide Iozzi, Giuseppe Di Fede; Non-Celiac Gluten Sensitivity in patients with severe abdominal pain and bloating: The accuracy of ALCAT 5; University of Pavia; Clin Nutr ESPEN; 2018 Dec;28:127-131. DOI: 10.1016/j.clnesp.2018.08.017 https://www.ncbi.nlm.nih.gov/pubmed/30390869/
(6) Pierluigi Pompei, Iolanda Grappasonni, Stefania Scuri, Fabio Petrelli, Enea Traini, Sacha Sorrentino, Giuseppe Di Fede: A Clinical Evidence of a Correlation Between Insulin Resistance and the ALCAT Food Intolerance Test; University of Camerino; Altern Ther Health Med; 2019 Mar;25(2):22-38. https://www.ncbi.nlm.nih.gov/pubmed/30990791
(7) Pietschmann, N. “Food Intolerance: Immune Activation Through Diet-associated Stimuli in Chronic Disease,” Altern Ther Health Med, vol. 21, no. 4, pp. 42-52, 2015 Jul-Aug 2015
(8) “High Correlation of the Alcat Test Results with Double Blind Challenge (DBC) in Food Sensitivity“; Fell, Brostoff & Pasula, Präsentation der Studiendurchführung und Ergebnisse beim 45. Annual Congress of the American College of Allergy and Immunology, Los Angeles vom 12. – 16. November 1988 und anschließend Veröffentlichung in den Annals of Allergy.
(9) “Alcat a new test for food induced problems in medicine?“ Fell et al., Präsentation der Studiendurchführung und Ergebnisse beim Jahrestreffen der American Academy of Otolaryngic Allergy, Washington DC, 1. Oktober 1988
(10) ”Alcat® – a new cellular test for food sensitivity“; Fell, Brostoff & Soulsby, Präsentation der Studiendurchführung und Ergebnisse beim Jahrestreffen der American In-Vitro Allergy & Immunology Society, August 1990, Toronto, Canada
(11) ”Cellular responses to food in irritable bowel syndrome – an investigation of the Alcat Test“; Fell, Soulsby & Brostoff, Publikation der zusammengefassten Studien-Ergebnisse im Journal of Nutritional Medicine, Vol. 2, Nr. 2, 1991
(12) “Diagnostic Value of Alcat Test in intolerance to food additives compared with double blind placebo controlled (DBPC) oral challenges“ L. Hoj, J Allerg Clin Immun 1 (3); 1996
Reproducibility studies:
(13) “Reproducibility of the Alcat Test”; Studie von Dr. Paul Potter an der Universität Kapstadt, Johannesburg, Südafrika 1994.
(14) “Reproducibility of the Antigen Leukocyte Cellular Antibody Test (Alcat) – Statistical Analysis, Summary Statistics & Scientific Report“, University of the Range Free State in Bloemfontein, Südafrika, Dr. WML Neetling and Dr. AM Kachelhoffer von Januar – April, 1998.
(15) “Parexel Medstat Final Statistical Report – Study of the Alcat Test in 10 subjects”, Dr. Per Fuglerud, Parexel Norwegen, Nov. 1999
(16) Study Comparing Alcat Test Results With Flow Cytometry and Microscop, Dr. Gitte Jensen, NIS Labs (Natural Immune System) Oregon, USA, 2009
Alcat studies – other
(17) ”Evaluation of Alcat Test Results in the Non-IgE Mediated Pathology of the Skin” DeAmici et al., Studiendurchführung und -bericht der Universität von Pavia, Italien. Presented at the 30th Congress of the European Academy of Allergy and Clinical Immunology, 11 – 15 June 2011 – Istanbul, Turkey. (Poster Presentation, Abstract #553)
(18) ”Alcat Test Results in the Treatment of Gastrointestinal Symptoms” Berardi L. et al., Studiendurchführung und -bericht der Universität von Pavia, Italien. Presented at the 30th Congress of the European Academy of Allergy and Clinical Immunology, 11 – 15 June 2011 – Istanbul, Turkey. (Poster Presentation, Abstract #552)
(19) ”Rational management of food intolerance in an elite soccer club” Angelini et al., Journal of the International Society of Sports Nutrition 2011, 8(Suppl 1):36
(20) ”Alcat Test Identifies Food Intolerance in Patients with Gastrointestinal Symptoms” Berardi et al., Report of the XXVIII Congress of the European Academy of Allergy & Clinical Immunology, European Journal of Allergy and Clinical Immunology, Supplement 90, Volume 64, 2009, pg. 490.
(21) “Food Intolerance in Patients with Cutaneous Diseases: Diagnostic Value of the Alcat Test” Berardi et al., Report of the XXVIII Congress of the European Academy of Allergy and Clinical Immunology, European Journal of Allergy and Clinical Immunology, Supplement 90, Volume 64, 2009, pg. 490.
(22) “The Effect of the Alcat Test Diet Therapy for Food Sensitivity in Patients with Obesity” Akmal et al., Middle East Journal of Family Medicine. April 2009 – Vol. 7, Issue 3.
(23) ” IMS Health Economics and Outcomes Research – Influence of Food Intolerance in Migraines: Final Report of Statistical Results” Immunological Center of Cataluna, Version 3, December 28, 2006.
(24) “A Comparison of the Alcat Test for Food Reactions Amongst 2 Population Sub-Groups” Studienpräsentation von Dr. DH Sandberg und Dr. MJ Pasula, 45th Annual Congress of the American College of Allergy and Immunology, Los Angeles, CA: November 12 – 16, 1998, publiziert in den Annals of Allergy.
(25) “The Short Term Efficacy of the Alcat Test of Food Sensitivities to Facilitate Changes in Body Composition and Self-Reported Disease Symptoms: A Randomized Controlled Study” Kaats et al. in Am J of Bariatric Med, Spring 1996: 18 – 23.
(26) “El test Alcat de sensibilidad a los alimentos y su interés en Medicina Estética Cabo-Soler JR. Alcuni Particolari Della Dieta In Medicina Estetica (Comments On Diets In Esthetic Medicine)”. Abstract of 14th Med Day of Esthetical Medicine & Dermatological Survey. Venice, Italy, Sep. 22 – 23, 1995. Published in the proceedings.
(27) “Outcome Study in 353 Consecutive Patients Following The Alcat Diet”, Studie von Dr. Lene Hoj in Kopenhagen, Allergy Clinic Charlottenlund, Dänemark 1998. Non-Published.
(28) “Prevalence of food allergy and intolerance in children based on MAST CLA and Alcat Tests” Buczylko et al., Rocz Akad Med Bialymst. 1995; 40(3):452 – 456.
(29) “Alcat Test Results in the Treatment of Respiratory and Gastrointestinal Symptoms, Arthritis, Skin and Central Nervous System” Mylek et al., Rocz Akad Med Bialymst. 1995; 40(3): 625 – 629.
(30) “Food Intolerance in Patients with Angioedema and Chronic Urticaria. An investigation by RAST and Alcat Test Studie von Dr. Lene Hoj, präsentiert beim XVI European Congress of Allergy and Clinical Immunology”, Madrid, Spanien: June 25 – 30, 1995 und publiziert im European Journal of Allergy and Clinical Immunology – Supplement, No. 26, Vol. 50, 1995.
(31) “Multiple Pathogenic Mechanisms in Food Sensitivity Reaction In-Vitro”. Pasula MJ, Puccio SG, 4th International Symposium on Immunological and Clinical Problems of Food Allergy, Milan, Italy. November 5 – 9, 1989. Abstract Symposium Book, pg. 37.
(32) “Influence of Food antigens on Volumes of Circulating White Blood Cells and Platelets Aggregation Studienpräsentation beim 4. Symposium on Immunological and Clinical Problems of Food Allergy”, Mailand, Italien, 5. – 9. November 1989
(33) “The Alcat Test – A Guide and Barometer in the Therapy of Environmental and Food Sensitivities”. Dr. BA Solomon, Environmental Medicine, Vol. 9, Number 2, 1992:2 – 6
(34) “Pilot Study into the Effect of Naturally Occurring Pharmacoactive Agents on the Alcat Test”. Fell, PJ. American Otolaryngic Allergy Association Annual Meeting, September 27, 1991, Kansas City, MO. Published in the proceedings.
(35) “Inhibitory Effect of Sodium Cromoglycate on Granulocyte Response to Food Antigens In-Vitro”. Fell PJ, Sandberg DH, Pasula MJ. 47th Annual meeting of the American College of Allergy & Immunology, November 10 – 14, 1990, San Francisco, CA. Publ. in proceedings.
(36) “Gastrointestinal Complaints Related to Diet”, DH Sandberg, International Pediatrics, Vol. 5 No. 1, 1990:23 – 9.
(37) “South African Outcome Study randomisierte Studie an 274 Patienten”, Dr. Jan Geldenhuys, Johannesburg, Südafrika, 1997
(38) “Allergie alimentari. Tecniche diagnostiche a confronto [Food allergy: comparison of diagnostic techniques]”, Mancini S, Fierimonte V, Iacovoni R, Spaini A, Viarani P, Pichi A., Minerva Pediatr. 1995 May;47(5):159-63 [Italian]
(39). “Technical Study Comparing The Alcat Methodology With Activation Of Granulocytes Following Challenge With Zymosan”. Studie von Dr. Cristina Mele der Universität von Rom.
(40) “Autism – a multidisciplinary approach to treatment”, Kotsanis et al. 1994. Diese Studie wurde unter der Leitung von Dr. Constantine A. Kotsanis durchgeführt. Die Ergebnisse wurden auf dem Jahrestreffen der American Academy of Otolaryngic Allergy 1994 präsentiert und stehen auf der Webseite des Kotsianis Instituts zur Verfügung. https://www.kotsanisinstitute.com
(41) “Controversial antigen leucocyte cellular antibody test (Alcat): a non specific inhibitory effect of alpha glycoproteins”, Kedryna & Guminska, Med Sci Monit 1999; 5(2):BR193 – 197.
(42) “Ogni intervento comincia a tavola”, Mele Cristina, Medici Oggi, Maggio 2002: 210 – 213
(43) “Evaluation of the cytotoxic food test and the Alcat (antigen leukocyte cellular antibody test)”. Pol Merkuriusz Lek. 1997 Feb;2(8):154 – 9.
(44) “The Alcat Test: in vitro procedure for determining food sensitivities”, Pasula MJ., Folia Med Cracov. 1993; 34(1 –4):153 –7.
(45) “Pharmacoactive Compounds in Foods – The effect on the Alcat Test in Healthy volunteers and patients suffering from Migraine” Fell PJ, Brostoff J, Pasula M. AAOA News 9:2:29.
Immune cells can also be used as a biomarker for the absorption and metabolism of nutrients. The Cellular Nutrition Assay (CNA) shows which nutrients, botanicals, antioxidants etc. are insufficient and which are beneficial for an individual.
References:
[1] Maimonides; medieval philosopher, scholar, and physician
[2] Archibold Garrod, “The Father of Chemical Genetics” in a 1909 lecture at St. Bartholomew’s Hosp. (London) – Author, “Inborn factors of disease” (1931)
[3] Dr. Shuichi Kaminogawa, Dr.Masanobu Nanno (Modulation of Immune Functions by Foods, Annals of Oncology, Vol. 1 #3)
[4] https://lpi.oregonstate.edu/mic/micronutrient-inadequacies/overview
[5] https://www.fda.gov/food/resourcesforyou/consumers/ucm109760.htm
[6] US Department of Health and Human Services and US Department of Agriculture. 2015-2020 Dietary Guidelines for Americans December 2015. Available at: https://health.gov/dietaryguidelines/2015/. Accessed 4/23/18.
[7] National Institute of Diabetes and Digestive and Kidney Diseases. Overweight & Obesity Statistics. Available at: https://www.niddk.nih.gov/health-information/health-statistics/overweight-obesity. Accessed 8/31/17.
[8] US Preventive Services Task Force, Grossman DC, Bibbins-Domingo K, et al. Screening for obesity in children and adolescents: US Preventive Services Task Force Recommendation Statement. JAMA. 2017;317(23):2417-2426. (PubMed)
[9] Kant AK. Consumption of energy-dense, nutrient-poor foods by adult Americans: nutritional and health implications. The Third National Health and Nutrition Examination Survey, 1988-1994. Am J Clin Nutr. 2000;72(4):929-936. (PubMed)
[10] Huskisson E, Maggini S, Ruf M. The role of vitamins and minerals in energy metabolism and well-being. J Int Med Res. 2007;35(3):277-289. (PubMed)
[11] Angelo G, Drake VJ, Frei B. Efficacy of multivitamin/mineral supplementation to reduce chronic disease risk: a critical review of the evidence from observational studies and randomized controlled trials. Crit Rev Food Sci Nutr. 2015;55(14):1968-1991. (PubMed)
[12] Miller EM. Iron status and reproduction in US women: National Health and Nutrition Examination Survey, 1999-2006. PLoS One. 2014;9(11):e112216. (PubMed)
[13] Hoy MK, Goldman JD. Potassium intake of the US population: What we eat in America, NHANES 2009-2010. Food Surveys Research Group. Dietary Data Brief No. 10. Sept. 2012
[14] Schleicher RL, Carroll MD, Ford ES, Lacher DA. Serum vitamin C and the prevalence of vitamin C deficiency in the United States: 2003-2004 National Health and Nutrition Examination Survey (NHANES). Am J Clin Nutr. 2009;90(5):1252-1263. (PubMed)
[15] Holick MF, Binkley NC, Bischoff-Ferrari HA, et al. Evaluation, treatment, and prevention of vitamin D deficiency: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab. 2011;96(7):1911-1930. (PubMed)
[16] Ross AC. Vitamin A. In: Ross AC, Caballero B, Cousins RJ, Tucker KL, Ziegler TR, eds. Modern Nutrition in Health and Disease. 11th ed. Philadelphia: Lippincott Williams & Wilkins; 2014:260-277.
Methyl Detox Profile: Vitamins, minerals, nutrients, coenzymes, and botanicals can only do their job as desired on the basis of functioning methylation. Essential processes of the body to maintain health and self-healing are influenced by methyl groups. If methyl groups are in short supply, the body has difficulty controlling these functions.
References:
Telomere Length Test. Monitor your health progress. Telomere length may indicate and predict biological ageing and age-related diseases.
References:
Rivero G et al. Telomerase deficiency promotes oxidative stress by reducing catalase activity. Free Radic. Biol. Med. 2008. 45(9):1243-51.
Celiac/IBS/Crohn’s screening: The Celiac, IBS, Crohn’s Assay (CICA) uses genetic and antibody biomarkers to better understand your GI conditions, risks, and what to do about it.
References:
Megiorni F, Mora B, Bonamico M, Barbato M, Nenna R, et al: HLA-DQ and risk gradient for celiac disease. Hum Immunol 2009, 70:55-59.